Active NPI
Taylor Phillips
- Physical Therapist
- Clanton, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH7904
- Practice address
- 674 Ollie Ave
Clanton, AL 35045-2246 - Phone
- (205) 280-1100
- Fax
- (205) 280-1575
- NPI assigned
- Apr 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH7904 | AL | Primary |
Addresses
Primary practice location
674 Ollie Ave
Clanton, AL 35045-2246
Mailing address
251 Johnston St SE
Suite 300
Decatur, AL 35601-2515
Phone (256) 340-9708
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529917620 | Medicaid | AL | |
| 1003819608 | Other | AL | GOUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Cahaba Valley Pkwy
Suite 101
Pelham, AL 35124-1187
Phone (205) 216-2613
1520 McFarland Blvd N
Suite a
Tuscaloosa, AL 35406-2285
Phone (205) 462-7520
4774 Eastern Valley Rd
Suite 109
MC Calla, AL 35111-3565
Phone (205) 477-1501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy South Tuscaloosa LLC | Physical Therapist | Current | Accepting new patients |
| Therapy South-Bessemer, LLC | Physical Therapist | Current | Accepting new patients |
| Encore Rehabilitation, Inc. | Past | Accepting new patients |
Locations
2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713
4774 Eastern Valley Rd
Ste 109
Mc Calla, AL 35111
Phone (205) 477-1501
1520 McFarland Blvd N
Ste A
Tuscaloosa, AL 35406
Phone (205) 462-7520
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Tuscaloosa, AL
- NPI 1447734900
-
- Physical Therapist
- McCalla, AL
- NPI 1801081468
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1003819608
-
dba Encore Rehab at The Blake
- Physical Therapy Clinic/Center
- Daphne, AL
- NPI 1194114447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1790149664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 JOHNSTON ST SE",
"address_2": "SUITE 300",
"city": "DECATUR",
"state": "AL",
"postal_code": "356012515",
"telephone_number": "256-340-9708",
"fax_number": "256-340-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "674 OLLIE AVE",
"city": "CLANTON",
"state": "AL",
"postal_code": "350452246",
"telephone_number": "205-280-1100",
"fax_number": "205-280-1575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH7904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529917620",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOUP NPI",
"identifier": "1003819608",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clanton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.